Individual
KAYLA SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
314 S 17TH ST, FORT SMITH, AR 72901-3836
(479) 782-1444
Mailing address
476647 E 1095 RD, ROLAND, OK 74954-3836
(479) 353-5158
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
202171
AR
Other
Enumeration date
12/21/2020
Last updated
07/23/2024
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